Kernig, Mikelle Louella
Kernig, Mikelle Louella is an sole proprietor health care provider with primary practice located at 13103 E Mansfield Avenue , Spokane Valley WA 99216-1642. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Kernig, Mikelle Louella can be contacted via phone (509) 892-2700.Contact Information
Primary practice address
13103 E Mansfield Avenue
Spokane Valley WA 99216-1642
Phone: (509) 892-2700
Fax: (509) 892-2740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DN012237 | Georgia |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | MD60797389 | Washington |
Profile Details
| NPI number | 1114004579 |
|---|---|
| LBN Legal business name | Kernig, Mikelle Louella |
| Credentials | BM, DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114004579 | NPPES |
| Washington | MEDICAID | 2130862 |
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